Active NPI
Carolyn A Hellman, D.O.
- Emergency Medicine Physician
- New London, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 44708-021
- Practice address
- 1405 Mill St
New London, WI 54961-2155 - Phone
- (920) 531-2000
- Fax
- (920) 531-2098
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 44708-021 | WI | Primary |
Addresses
Primary practice location
1405 Mill St
New London, WI 54961-2155
Mailing address
3 Neenah Ctr
Neenah, WI 54956-3070
Phone (920) 830-5900
Other practice location 1
111 E Wisconsin Ave
Milwaukee, WI 53202-4815
Phone (414) 290-6720
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930126462 | Other | WI | MEDICARE RAILROAD |
| 34305900 | Medicaid | WI | |
| 930126463 | Other | WI | MEDICARE RAILROAD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | chellman11039@ewd.direct.hshs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101116000262 | WI | Practitioner - Emergency Medicine | 9436344454 | Reassigns benefits to 15 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44708-021 | WI | MD | Emergency Medicine Physician |
Practice roles
Locations
1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
707 S University Ave
Beaver Dam, WI 53916
Phone (920) 887-4006
225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313
614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042
1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016
2300 Western Ave
Manitowoc, WI 54220
Phone (920) 320-2011
3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229
1405 Mill St
New London, WI 54961
Phone (920) 531-2000
500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501
100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161
1414 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 320-2011
323 S 18th Ave
Sturgeon Bay, WI 54235
Phone (920) 743-5566
800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000
601 Grove Ave
Wild Rose, WI 54984
Phone (888) 287-4488
Interoperability endpoints
- chellman339098@direct.thedacare.org
- chellman887443@direct.froedtert.com
Organizations & group practices 23
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Manitowoc, WI
- NPI 1437829975
WI
-
- Critical Access Hospital
- New London, WI
- NPI 1538127220
WI
-
- Emergency Medicine Physician
- Waupaca, WI
- NPI 1780782680
Emergency Medicine, WI
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1902832306
WI
-
- Emergency Medicine Physician
- Beaver Dam, WI
- NPI 1912109836
WI
-
- Anatomic Pathology & Clinical Pathology Physician
- Waupaca, WI
- NPI 1861434631
Hospital & facility affiliations 18
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Wautoma, WI
- NPI 1992159289
Hospital
-
- Critical Access Hospital
- Clintonville, WI
- NPI 1144675745
Hospital
-
- Critical Access Hospital
- New London, WI
- NPI 1538127220
Hospital
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1740920909
Hospital
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1497119218
Hospital
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1689038408
Hospital
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1831773589
Hospital
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1902832306
Hospital
-
- General Acute Care Hospital
- Fond Du Lac, WI
- NPI 1912721002
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ascension Calumet Hospital Inc
Practice addresses (Care Compare)
614 Memorial Dr
Chilton, WI 53014-1568
Phone (800) 458-4042
Hospital & facility affiliations
- Thedacare Regional Medical Center - Appleton Inc
- Thedacare Medical Center - New London
- Thedacare Medical Center - Berlin Inc
- Ascension Calumet Hospital
- Thedacare Regional Med Ctr - Neenah
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1497789929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 NEENAH CTR",
"city": "NEENAH",
"state": "WI",
"postal_code": "549563070",
"telephone_number": "920-830-5900",
"fax_number": "920-830-5910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 MILL ST",
"city": "NEW LONDON",
"state": "WI",
"postal_code": "549612155",
"telephone_number": "920-531-2000",
"fax_number": "920-531-2098"
}
],
"practiceLocations": [
{
"address_1": "111 E Wisconsin Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532024815",
"country_code": "US",
"telephone_number": "414-290-6720",
"fax_number": "414-290-6755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HELLMAN",
"first_name": "CAROLYN",
"middle_name": "A",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "44708-021",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "930126462",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34305900",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "930126463",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "chellman11039@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "111 E Wisconsin Ave",
"city": "Milwaukee",
"state": "WI",
"country_code": "US",
"postal_code": "532024815",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in New London, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.